National Provider Identifier [NPI]: |
1184940330 |
Last Name Of The Provider |
ASON |
First Name Of The Provider |
REGINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2120 LAKELAND HILLS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKELAND |
Zip Code Of The Provider |
338052906 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
7953 |
Number Of Medicare Beneficiaries |
3086 |
Total Submitted Charge Amount |
706857.8 |
Total Medicare Allowed Amount |
203240.79 |
Total Medicare Payment Amount |
158608.46 |
Total Medicare Standardized Payment Amount |
161433.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2712 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
7357 |
Total Drug Medicare AllowedAmount |
1171.65 |
Total Drug Medicare PaymentAmount |
875.56 |
Total Drug Medicare Standardized Payment Amount |
875.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
182 |
Number Of Medical Services |
5241 |
Number Of Medicare Beneficiaries With Medical Services |
3084 |
Total Medical Submitted Charge Amount |
699500.8 |
Total Medical Medicare Allowed Amount |
202069.14 |
Total Medical Medicare Payment Amount |
157732.9 |
Total Medical Medicare Standardized Payment Amount |
160557.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
580 |
Number Of Beneficiaries Age 65 to 74 |
985 |
Number Of Beneficiaries Age 75 to 84 |
961 |
Number Of Beneficiaries Age Greater 84 |
560 |
Number Of Female Beneficiaries |
1954 |
Number Of Male Beneficiaries |
1132 |
Number Of Non Hispanic White Beneficiaries |
2558 |
Number Of Black or African American Beneficiaries |
334 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
157 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2081 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1005 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0121 |